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PERMITTEE NAME: <br />PERMIT NO,: <br />OPERATION NAME: <br />ANNIVERSARY DATE: <br />ANNUAL FEE DUE: <br />COUNTY: <br />Valco, Inc. <br />M-1977-572 <br />Lamar East Pit <br />March 22, 2005 <br />I~ <br />RECE'VED <br />MAR 2 1 n-~ <br />Givision of Minerals and Geology <br />$688.00 (Due on or before your anniversary date) <br />Prowers <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />- during-the upcoming year,, reclamation that~wiltbe performed during the coming year,-tfie dates for tfie beginning ~- <br />ofactive operations, and the date active operations ceased for the year, if any. <br />Please attach ym~r revised written anmial report and anm~al re n,~~ rt map to this form- Please note that an <br />adequately labeled map that clearly delineates and includes the above elements may suffice for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Wayne Adams <br />Permittee Name: <br />Address: <br />Valco, Inc. <br />P.O. Box 591 <br />Lamar, CO 81052 <br />Phone Number: (719) 336-2223 <br />- ~ Faz Number: (719) 336-2224 <br />If you have additional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />,~.e~ l <br />Signature of orporate Officer, Owner, or Designee <br />o'J -/ Fl -O S' <br />Dale <br />